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MARIANNA HEALTH AND REHABILITATION CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Marianna Health and Rehabilitation Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

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Resident Services

The information below lists services this facility has provided for residents from October through November 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Marianna Health and Rehabilitation Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Rating Details For Marianna Health and Rehabilitation Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per Day

Reported

Expected

Registered Nurse (RN) Hours

19 Minutes

50 Minutes

Licensed Practical/Vocational Nurse (LPN/LVN) Hours

56 Minutes

32 Minutes

Certified Nursing Assistant (CNA) Hours

2 Hours and 54 Minutes

2 Hours and 3 Minutes

Total Licensed Nurse Hours

1 Hour and 16 Minutes

1 Hour and 21 Minutes

Total Nurse Hours

4 Hours and 9 Minutes

3 Hours and 25 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Florida are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This Facility

Florida Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination

90-100%

86%

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season

90-100%

87%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have Moderate to Severe Pain

2%

3%

Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores

2%

3%

Percent of Long-Stay Residents Who Lose Too Much Weight

7%

8%

Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder

33%

54%

Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased

11%

12%

Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder

4%

5%

Percent of Long-Stay Residents Who Were Physically Restrained

-

5%

Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair

3%

5%

Percent of High-Risk Long-Stay Residents Who Have Pressure Sores

9%

12%

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse

6%

9%

Percent of Long-Stay Residents Who Had a Urinary Tract Infection

7%

11%

Percent of Long-Stay Residents Who Are More Depressed or Anxious

4%

10%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination

58%

81%

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season

65%

80%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain

11%

17%

Percent of Short-Stay Residents Who Have Pressure Sores

10%

14%

Percent of Short-Stay Residents Who Have Delirium

-

2%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 04/21/2011.

Degree of Harm

- Potential for Minimal Harm

- Minimal Harm or Potential for Harm

- Resident Harmed

- Immediate Jeopardy to Resident Health

Residents Affected

- Isolated

- Some Residents

- Many Residents

Deficiencies Found By Inspectors

Degree of Harm

Residents Affected

Environmental

Have a Program to Keep Infection from Spreading.

Inspection Date: 04/21/2011

Correction Date: 05/21/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.

Inspection Date: 07/22/2010

Correction Date: 08/27/2010

Make Sure That Residents Are Well Nourished.

Inspection Date: 04/21/2011

Correction Date: 05/21/2011

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.

Inspection Date: 06/25/2009

Correction Date: 08/19/2009

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.

Inspection Date: 06/25/2009

Correction Date: 08/19/2009

Properly Mark Drugs and Other Similar Products.

Inspection Date: 06/25/2009

Correction Date: 08/19/2009

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.

Inspection Date: 07/22/2010

Correction Date: 08/27/2010

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.

Inspection Date: 04/21/2011

Correction Date: 05/21/2011

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.

Inspection Date: 04/21/2011

Correction Date: 05/21/2011

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action Taken

Date

Amount

Civil Money Penalty (CMP)

07/22/2010

$2,015

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Marianna Health and Rehabilitation Center, as well as complaints by residents or their family in the previous three years.

Degree of Harm

- Potential for Minimal Harm

- Minimal Harm or Potential for Harm

- Resident Harmed

- Immediate Jeopardy to Resident Health

Residents Affected

- Isolated

- Some Residents

- Many Residents

Formal Complaints

Degree of Harm

Residents Affected

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.

Complaint Filed: 08/27/2010

Correction Date: 09/27/2010

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Marianna Health and Rehabilitation Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 04/21/2011.

Degree of Harm

- Potential for Minimal Harm

- Minimal Harm or Potential for Harm

- Resident Harmed

- Immediate Jeopardy to Resident Health

Residents Affected

- Isolated

- Some Residents

- Many Residents

Deficiencies Found By Inspectors

Degree of Harm

Residents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.

Inspection Date: 06/23/2009

Correction Date: 08/04/2009

Portable Fire Extinguishers.

Inspection Date: 06/23/2009

Correction Date: 08/04/2009

Automatic Sprinkler Systems That Have Been Maintained in Working Order.

Inspection Date: 07/20/2010

Correction Date: 08/26/2010

Properly Working Alarms on Sprinkler Valves.

Inspection Date: 04/21/2011

Correction Date: 06/03/2011

Automatic Sprinkler Systems That Have Been Maintained in Working Order.

Inspection Date: 04/21/2011

Correction Date: 06/03/2011

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.

Inspection Date: 06/23/2009

Correction Date: 08/04/2009

Properly Protected Cooking Facilities.

Inspection Date: 06/23/2009

Correction Date: 08/04/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.

Inspection Date: 06/23/2009

Correction Date: 08/04/2009

Electrical

Weekly Inspections and Monthly Testing of Generators.

Inspection Date: 06/23/2009

Correction Date: 08/04/2009

Properly Installed Electrical Wiring and Equipment.

Inspection Date: 06/23/2009

Correction Date: 08/04/2009

Properly Installed Electrical Wiring and Equipment.

Inspection Date: 04/21/2011

Correction Date: 06/03/2011

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan.

Inspection Date: 06/23/2009

Correction Date: 08/04/2009

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.

Inspection Date: 06/23/2009

Correction Date: 08/04/2009

Exits and Egress

Exits That Are Accessible at All Times.

Inspection Date: 07/20/2010

Correction Date: 08/26/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.

Inspection Date: 06/23/2009

Correction Date: 08/04/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.

Inspection Date: 06/23/2009

Correction Date: 08/04/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.

Inspection Date: 06/23/2009

Correction Date: 08/04/2009

Smoke Compartmentation and Control

At Least Two Compartments on Every Floor to Protect Residents from Smoke.

Inspection Date: 06/23/2009

Correction Date: 08/04/2009

Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage.